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Remote Precertification RN Reviewer – Outpatient

Remote / Online - Candidates ideally in
Lynn, Essex County, Massachusetts, 01910, USA
Listing for: P32HS Point32Health Services Inc
Remote/Work from Home position
Listed on 2026-09-25
Job specializations:
  • Nursing
    RN Nurse, Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 90000 - 134000 USD Yearly USD 90000.00 134000.00 YEAR
Job Description & How to Apply Below

Point
32

Health is seeking a Clinical Reviewer, Precertification RN, in Massachusetts. You will manage a clinically complex caseload, determine medical necessity and coverage for members, and ensure timely, compliant decisions within product-specific time frames.

The role requires an active MA RN license, an associate degree (BSN preferred), and at least five years in utilization management or related fields.

We are looking to fill the Remote Precertification RN Reviewer – Outpatient position at P32HS
Point
32

Health Services Inc in MA, United States.

The Remote Precertification RN Reviewer – Outpatient position in the Bio & Pharmacology & Health, Management & Operations field is open for applications.

We have an opening for a Remote Precertification RN Reviewer – Outpatient in MA, United States within Bio & Pharmacology & Health, Management & Operations.

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